Demographics Estimated Population 10,500 Population of 32937 Zip Code 29,000 21% of population 65...
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Transcript of Demographics Estimated Population 10,500 Population of 32937 Zip Code 29,000 21% of population 65...
CITY AND DEPARTMENT BACKGROUND
Demographics Estimated Population 10,500 Population of 32937 Zip Code 29,000
21% of population 65 or older
Satellite Beach Fire & Paramedic Services Full service Fire / Paramedic Agency
EMS and Patient Care a high priority component of our community
Key Performance Indicators relating to EMS Response Times Patient Care Delivery and Outcome Training Patient Satisfaction
Key Performance Indicates for Community Health include Reduction in Fall related events Reduction of the use of EMS and ED as primary care Enhanced ability for senior to remain in their home
TRADITIONAL FIRE/EMS DEPARTMENT WITH ONE EXCEPTION
A d m in istra t ive A id (A A R P -V o lu n te e r)R e cord s M a na g e m e nt
R e se rve F ire fig h te rs B o a rd o f D ire c to rs
F ire In sp e c to r
R e se rv e F ire f igh te r (s)
F ire fig h te r II /E M T
F ire figh te r II/P a ram e d icD rive r O p e ra to r
E n g in e 55O ffice r
F ire fig h te r II E M T
F ire figh te r II P a ram e d ic
F ire figh te r IID rive r O p e ra to r
T o w e r 63O ffice r
C a p ta inA S h ift
L o g is tics
R e se rv e F ire f igh te r (s)
F ire figh te r II/P a ram e d ic
F ire figh te r II/P a ram e d icD rive r O p e ra to r
E n g in e 55O ffice r
F ire fig h te r II /E M T
F ire figh te r II/P a ram e d ic
F ire fig h te r II /E M TD rive r O p e ra to r
T o w e r 63O ffice r
C a p ta inB S h ift
F ire /E M S T ra in ingT e ch n ica l R e sc ue
R e se rv e F ire f igh te r (s)
F ire fig h te r I I/ P a ra m e d ic
F ire figh te r iI /P a ram e d icD rive r O p e ra to r
E n g in e 55O ffice r
F ire fig h te r II / E M T
F ire figh te r II/P a ram e d ic
F ire fig h te r II /E M TD rive r O p e ra to r
T o w e r 63O ffice r
C a p ta inC S h ift
P re -F ire P la n n ing (IS O )
O p e ra tio ns C om m an d erF ire P re ven tion
F ire Co d e A d m in stra tion
F a ll P re ven tio n T e ch M o b ile In te rg ra te d H ea lth T e ch
M o b ile In te rg ra te d Co m m u n ity H e a lth P ro g ram
F ire C h ie fC ity E m e rg en cy M an a g er
MOBILE INTEGRATED COMMUNITY HEALTH Satellite Beach Fire Department
provides two services that have positively impacted the community Senior Fall Prevention Community Health Medic Program.
COMMUNITY HEALTH MEDIC PROGRAM Satellite Beach Fire
provides in-home health evaluations for older citizens who have chronic health conditions and self manage their condition
Paramedic makes appointment to visit citizens in their homes as needed to conduct physical exam and check up.
COMMUNITY HEALTH MEDIC PROGRAM Services Provided
In-Home Paramedic exam on a weekly visit 12 Lead EGG Vitals including weight Blood Glucose Oxygen Saturation Medication review and compliance Nutrition review and compliance Link with Primary Care Provider to provider to
provide first hand observations about the patient.
COMMUNITY HEALTH MEDIC PROGRAM Program Expansion 2015
Evident that we needed to leverage technology to increase efficiency and effectiveness
Review of remote medical monitoring products was very costly
Made strategic decision to implementation “off the shelf” wireless home health monitoring equipment
BP / Pulse Pulse Oxygenation Glucose Weight / Body Mass/ Fluid %
Through Community Donations- Purchased equipment including ipad mini with build in cellular data
Data upload to a cloud based dashboard for daily review of patient data by Paramedic
COMMUNITY HEALTH MEDIC PROGRAM
Participants were taught to use the ipad and how to take their on vital signs each day and upload it to a cloud based service
Participant age- 74-93 years of age Data upload to a cloud based dashboard for daily
review of patient data by Paramedic This allows “Virtual” contact with the participant Requiring the participants to do this each day gave
them a sense of control and ownership on improving their on health status
SATELLITE BEACH SENIOR CARE NETWORK Local Coalition of Health
Care Providers, Hospice, Faith Based organizations, public transportation, senior adult civic groups, local government
Case-Management review of all participants Focus it to match the
needs with the appropriate solution.
PROGRAM OUTCOMES
For those patients who have been in the program, the patient has experienced Overall Health Improvement Greater ability to take an active role in their own
health care Reduction of 911 use Improved overall life outlook
Hospital Readmission 120 day review
Tracked 25 SBFD 911 Patients (911-Discharge) Community Medic was at Pt home within 24 hours of
Discharge Initiated Discharge Plan and Follow Up Coordinated Home Health Care for Patients who were
discharged without it .08% 30 day readmission
COMMUNITY HEALTH PARAMEDIC
Planned Expansion 24/7 Community Medic On-Duty
Unplanned Community Health Needs Work with Home Health Care patients in crisis Hospital readmission diversion
Community Medic to meet discharged patient at their home in 8 hours or less 90% on-time
Pilot Program – Video Tele-medicine with Primary Care
Provider and Patient in-home facilitated by Community Medic
COMMUNITY HEALTH PARAMEDIC
Pilot Programs Video Tele-Medicine
Video Link Primary Care Provider and Patient in-home facilitated by Community Medic